Cultura

Anthropocene becomes the world: Indra Sinha’s Animal’s People, Rohinton Mistry’s A Fine Balance, and Paulo Bacigalupi’s The Windup Girl as world literature

VOLUME 19, 2022

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Simon C. ESTOK
Sungkyunkwan University

Abstract

The topics of Anthropocene literature have a perceived global relevance that is greater than that of literature in any other period in history, and Indra Sinha’s Animal’s People, Rohinton Mistry’s A Fine Balance, and Paulo Bacigalupi’s The Windup Girl show this clearly. These books hit common global registers, at once dealing with issues such as urbanization, corporate capitalism, and climate change as common concerns while vigorously valuing and affirming cultural heterogeneity. The topics of these novels virtually guarantee their position as world literature. Sinha, Mistry, and Bacigalupi offer hope rather than doom-and-gloom on topics that are of pressing global concern. In the process, they reveal that Anthropocene fiction has, by its very topicality, a propensity to being world literature, whatever the greatness or weakness of its national origin. Theorizing about world literature thus needs to grapple more decisively than it has with what cli-fi and Anthropocene fiction offer.

Keywords : world literature, Anthropocene fiction, cli-fi.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty